Uterine Prolapse: Causes, Symptoms, and Treatment
Medically reviewed by Harsha Moole, MD, Internal Medicine. Last reviewed: October 2, 2026.
What kind of doctor treats Uterine Prolapse?
Uterine prolapse is usually treated by an OB/GYN, a doctor who specializes in the female reproductive system, pregnancy, and childbirth. A primary care doctor can often do the first exam and make a referral. A direct primary care or concierge doctor can be a first stop for an evaluation and can refer you to a specialist when needed.
What it is
Uterine prolapse happens when the uterus slips down from its normal place in the pelvis and pushes into the vagina because the muscles and tissues that hold it in place become weak or stretched. In mild cases the uterus drops only a little; in severe cases it can bulge out of the opening of the vagina.
Symptoms
Some people have no symptoms at all. When symptoms do appear, they often include a feeling of heaviness or pulling in the pelvis, tissue bulging from the vagina, trouble passing urine, and leaking urine when coughing or laughing. Symptoms often feel worse after standing.
Causes and who gets it
The main cause is weakening of the pelvic floor, the muscles and tissues that support the bladder, uterus, and bowel. Pregnancy and vaginal childbirth are the most common reasons these muscles weaken, especially after many births or difficult deliveries. Age, low estrogen after menopause, excess weight, coughing, constipation, and heavy lifting can add strain.
How doctors diagnose it
A doctor starts by asking about symptoms and health history, then does a pelvic exam to feel whether the uterus has dropped. Asking the patient to cough or bear down can show how far the tissue moves. Imaging such as ultrasound may help rule out other problems.
Treatment
Treatment depends on how severe the prolapse is and how much it bothers the person. Mild cases may need only watchful waiting, pelvic floor exercises such as Kegels, and a healthy weight. A pessary, a soft device placed in the vagina to hold the uterus in place, can be a good option for people who want to avoid surgery. For severe prolapse, surgery may repair supporting tissues or remove the uterus (hysterectomy).
When to see a doctor
Anyone who feels a bulge in the vagina, or has ongoing pelvic pressure or trouble passing urine or stool, should see a doctor. Prolapse rarely fixes itself, and seeing a doctor early gives more options.
How a direct primary care or concierge doctor fits in
A direct primary care doctor charges a flat monthly fee instead of billing insurance, while a concierge doctor usually charges more and often works alongside insurance. Either can be a good first stop, and longer visits make it easier to discuss symptoms that can feel embarrassing. They can check for prolapse, suggest pelvic floor exercises, and refer to an OB/GYN if needed.
Common questions
Can uterine prolapse go away on its own?
It usually does not go away without treatment. Mild cases may stay the same for years, and exercises can help strengthen support. A doctor can tell how severe it is and what to expect.
Can I still get pregnant if I have uterine prolapse?
Prolapse itself does not usually prevent pregnancy. Treatment choices may be delayed or adjusted for people who want more children. Talk with a doctor about options that protect fertility.
Is surgery the only option?
No. A pessary device, pelvic floor exercises, and lifestyle changes help many people. Surgery is usually saved for cases where other options do not give enough relief.
Sources
- American College of Obstetricians and Gynecologists - Pelvic Organ Prolapse
- MedlinePlus - Uterine prolapse
Medical Disclaimer
This content is for general educational and informational purposes only and is not medical advice. It is not a substitute for professional medical advice, diagnosis, or treatment, and reading it does not create a doctor-patient relationship. Always seek the advice of your physician or another qualified health provider with any questions about a medical condition, and never disregard or delay seeking professional advice because of something you read here. If you think you may have a medical emergency, call 911 (or your local emergency number) immediately.
